Organization
THE WILSON GONZALEZ CENTER FOR NEUROEDUCATION AND STUDENT DRIVEN LEARN
Active
Other names
WGCN
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE ERIN WILSON GONZALEZ MA, MED (NEURODEVELOPMENTAL SYSTEMS DIRECTOR)
(910) 987-0203
Entity
Organization
Contact information
Practice address
1460 WILMINGTON DR, DUPONT, WA 98327-8838
(910) 987-0203
Mailing address
930 ROSS LOOP, D325, DUPONT, WA 98327-9044
(910) 987-0203
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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